Organization
COLORADO ORAL SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD B MITZ DDS (OWNER)
(303) 744-1369
Entity
Organization
Contact information
Practice address
965 S COLORADO BLVD, DENVER, CO 80246-2405
(303) 744-1369
(303) 744-9865
Mailing address
965 S COLORADO BLVD, DENVER, CO 80246-2405
(303) 744-1369
(303) 744-9865
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
04858
CO
Other
Enumeration date
04/04/2007
Last updated
01/23/2008
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